Registration form
ICIMP 2007 and ICDT 2007 and ICGD&BC 2007
		[including workshops] 

July 1-6, 2007, San Jose/Santa Clara, Silicon Valley, USA 
(note: One registration allows one participant to assist to all the events)
 
Please fill in the form, sign it, and send it via one of the following:
Fax: 1-302-475-6432
e-mail: manuela@vicov.com 
mail: VICOV Event Expert LLC, P. O. Box 7540, Wilmington, DE 19803-7540, USA
 
Title (Student/Prof/Dr): ______ First Name: _____________ Last Name: ___________________
Paper number generated by EDAS (e.g., #254) (for authors only: only one paper per form) _______
Paper conference (ICIMP/ICDT/ICGD-BC): _______ Institution: __________________________
Street Address: ______________________________________________________________
City: __________________ State: ____________ Zip: ___________ Country: _____________
Phone: __________________ Fax: ___________________ Email: ______________________
This information may be sent later, using the registration form.
Arrival Date:        _______________ at ______________ with Flight N°: ________________
Departure Date:     ______________ at _______________with Flight N°: _________________
A. Conference Registration Fees
The full registration fees include: one paper publication (including IEEE Xplore and Indexing), attendance to any event, the welcome cocktail, the coffee breaks, the gala dinner, and the CD-proceedings.
 	IEEE Member	Non-IEEE Member	 	
Academic Rate
IEEE Membership # ………………	$690 	$740 	$______ 	
Industry rate
IEEE Membership # ........................	$790 	$840 	$______ 	
Late payment (after April 20/2007, $100 ; after
May 20/2007,  $150)	Late payment is allowed only for attendees with no papers.
  $ ______ 	
Additional Proceedings: $100 	                                                                                 
$ ______ 	
Extra pages:  $130 / page	
$______ 	
Additional Gala Dinner: $90 							     
$ ______ 	
    TOTAL A: $__________ 
B. Tutorials 
July 4th, 2007

See final program for titles and speakers.
Tutorials are free of charge

C. Hotel special price (LIMITED TO THE FIRST 50 REGISTERED) 

Arrival date   ____________		Arrival time _____________
Departure date _____________ 	Departure time _____________
Number of nights: ________
Note: a hotel day starts at noon
 
Marriott Santa Clara Hotel (All taxes are included in conference special prices)

Note: 
The conference takes place at this hotel.
Free Wireless high speed Internet connection available
Non-conference standard hotel room rate plus taxes, no breakfast, for July 1-6, is $285 [$259 + 10%taxes]

Great conference discount for a limited number of rooms timely booked
- One room [1-2 persons, 2 beds or king], no breakfast                 	$165 x ___nights = _______
- One room [1 person], with breakfast   				$190 x ___nights = _______
- One room [2 persons], two breakfasts                      			$215 x ___nights = _______

One bed _________    Two Beds _____________    Bed for baby [free] _________

TOTAL C: $__________ 

Transportation:
There are door-to-door shuttles serving Silicon Valley from the San Francisco airport, and low-cost taxis from the San Jose airport; see “Hotels and Travel” button on the conference site. Details on shuttles will be posted soon.

D. Social event 
(See the Preliminary program)
Date: Thursday, July 5th

San Francisco/Napa Valley Area (full day with lunch)    $150 x __ persons = _______ 

                                                       Total (A+C+D):     $  _________ 
Payment of Fees: 
 
__ By Credit Card   (preferred method)            (____ Mastercard or ____Visa)          
 
Card number:    _________________________________________________________
Expiration date:  _________                                                                   
Holder's Name: ________________________
                                                                   
__ By Wire Transfer (please add $60 for processing the wire transfer)
      Wire transfers with no processing fees paid will be considered incomplete. 
      Contact manuela@vicov.com for the wire transfer accounts information 
      
Date and Signature: ……………………………

Important: Please note that NO refund will be issued after April 20th, 2007;
                       All the guaranteed services must be paid before this date.